| NPI | 1144517186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME131981) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 266586) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC unknown) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC MD37734) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2018-03-23 |